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NPI Code Detail

MEDICARE: AHMAD AMIRDASH

MEDICARE: AHMAD AMIRDASH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse794504TX
2363LA2100XAcute Care Nurse PractitionerAP129602TX

General Provider Information

NPI Number : 1235509571
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD AMIRDASH
Provider Business Mailing Address
First Line : 2646 S LOOP W STE 330
Second Line :
City : HOUSTON
State : TX
Zip : 77054-2773
Country : US
Telephone Number : 281-888-4407
Fax Number : 832-604-4285
Provider Business Practice Location Address
First Line : 2646 S LOOP W STE 330
Second Line :
City : HOUSTON
State : TX
Zip : 77054-2773
Country : US
Telephone Number : 832-269-6250
Fax Number : 832-604-4285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2015
Last Update Date : 04/27/2026

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Directions to “ AHMAD AMIRDASH ” Practice Location

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